Mucinous Tumor of Appendix: An Uncommon Disease with Rare Presentations

Recently in our hospital 54-year-old Indian female patient presented with pain right hypochondrium, underwent cholecystectomy 3 years back for the same pain, now presented in emergency with with severe persistent pain right side of abdomen and fullness abdomen for 2 days. On examination there was tenderness and guarding of the right lumbar, right hypochondriumregion, post surgery scar was normal, no hepatosplenomegaly. A laparotomy was performed, during which a large amount of mucinous material seen in subhepatic region along with bulky gelatinous appendicealretrocecal tumor not infiltrating the omentum were found. All mucinous substance aspirated and appendicectomy done. Colon and cecum was inspected and palpated with no recognition of infiltration and separate appendix. Pathologist confirmed mucinous tumor of appendix progressing to of pseudomyxomaperitonei, opinion of oncologist is being taken while writing the short review